Guilherme Macillo Correia, Gustavo DE Mello Ribeiro Pinto, Rodrigo Chauke Rezende, Cristiano Nabuco Dantas, Marcelo Costa DE Oliveira Campos, Gilberto Zinn Schütz
{"title":"关节镜治疗肩关节病变的技术和材料：巴西肩关节外科学会成员的调查。","authors":"Guilherme Macillo Correia, Gustavo DE Mello Ribeiro Pinto, Rodrigo Chauke Rezende, Cristiano Nabuco Dantas, Marcelo Costa DE Oliveira Campos, Gilberto Zinn Schütz","doi":"10.1590/1413-785220243201e283711","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the preferences of shoulder and elbow surgeons from the Brazilian Society of Shoulder and Elbow Surgery to treat rotator cuff injuries, glenohumeral instability, and acromioclavicular dislocations considering a current and an ideal scenarios.</p><p><strong>Methods: </strong>A nationwide survey included 314 specialists who answered a 20-question questionnaire on treating shoulder pathologies.</p><p><strong>Results: </strong>This study included 314 specialists. Most (96%) perform rotator cuff repair arthroscopically and 74% use metallic anchors as a fixation method. In open surgery, most specialists reported using anchors (75%) instead of transosseous sutures. In treating glenohumeral instability via arthroscopic Bankart repair, 86% used three or more fixation anchors and 87%, bioabsorbable anchors. In Latarjet cases, 57% used cannulated screws. In treating acute acromioclavicular dislocations, 88% used the open route. Regarding fixation, 70% chose high-resistance wires; 65%, anchors; and 61%, Kirschner wires.</p><p><strong>Conclusion: </strong>The current Brazilian scenario has limited availability of ideal instruments and materials so specialists can treat shoulder pathologies. However, specialists' preferences agree with the latest medical literature. <b><i>Level of evidence V, Expert opinion.</i></b></p>","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"33 spe1","pages":"e283711"},"PeriodicalIF":0.5000,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11978303/pdf/","citationCount":"0","resultStr":"{\"title\":\"TECHNIQUES AND MATERIALS TO TREAT SHOULDER PATHOLOGIES BY ARTHROSCOPY: A SURVEY IN MEMBERS OF THE BRAZILIAN SOCIETY OF SHOULDER AND ELBOW SURGERY.\",\"authors\":\"Guilherme Macillo Correia, Gustavo DE Mello Ribeiro Pinto, Rodrigo Chauke Rezende, Cristiano Nabuco Dantas, Marcelo Costa DE Oliveira Campos, Gilberto Zinn Schütz\",\"doi\":\"10.1590/1413-785220243201e283711\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To evaluate the preferences of shoulder and elbow surgeons from the Brazilian Society of Shoulder and Elbow Surgery to treat rotator cuff injuries, glenohumeral instability, and acromioclavicular dislocations considering a current and an ideal scenarios.</p><p><strong>Methods: </strong>A nationwide survey included 314 specialists who answered a 20-question questionnaire on treating shoulder pathologies.</p><p><strong>Results: </strong>This study included 314 specialists. Most (96%) perform rotator cuff repair arthroscopically and 74% use metallic anchors as a fixation method. In open surgery, most specialists reported using anchors (75%) instead of transosseous sutures. In treating glenohumeral instability via arthroscopic Bankart repair, 86% used three or more fixation anchors and 87%, bioabsorbable anchors. In Latarjet cases, 57% used cannulated screws. In treating acute acromioclavicular dislocations, 88% used the open route. Regarding fixation, 70% chose high-resistance wires; 65%, anchors; and 61%, Kirschner wires.</p><p><strong>Conclusion: </strong>The current Brazilian scenario has limited availability of ideal instruments and materials so specialists can treat shoulder pathologies. However, specialists' preferences agree with the latest medical literature. <b><i>Level of evidence V, Expert opinion.</i></b></p>\",\"PeriodicalId\":55563,\"journal\":{\"name\":\"Acta Ortopedica Brasileira\",\"volume\":\"33 spe1\",\"pages\":\"e283711\"},\"PeriodicalIF\":0.5000,\"publicationDate\":\"2025-04-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11978303/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Acta Ortopedica Brasileira\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1590/1413-785220243201e283711\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Ortopedica Brasileira","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1590/1413-785220243201e283711","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
TECHNIQUES AND MATERIALS TO TREAT SHOULDER PATHOLOGIES BY ARTHROSCOPY: A SURVEY IN MEMBERS OF THE BRAZILIAN SOCIETY OF SHOULDER AND ELBOW SURGERY.
Objective: To evaluate the preferences of shoulder and elbow surgeons from the Brazilian Society of Shoulder and Elbow Surgery to treat rotator cuff injuries, glenohumeral instability, and acromioclavicular dislocations considering a current and an ideal scenarios.
Methods: A nationwide survey included 314 specialists who answered a 20-question questionnaire on treating shoulder pathologies.
Results: This study included 314 specialists. Most (96%) perform rotator cuff repair arthroscopically and 74% use metallic anchors as a fixation method. In open surgery, most specialists reported using anchors (75%) instead of transosseous sutures. In treating glenohumeral instability via arthroscopic Bankart repair, 86% used three or more fixation anchors and 87%, bioabsorbable anchors. In Latarjet cases, 57% used cannulated screws. In treating acute acromioclavicular dislocations, 88% used the open route. Regarding fixation, 70% chose high-resistance wires; 65%, anchors; and 61%, Kirschner wires.
Conclusion: The current Brazilian scenario has limited availability of ideal instruments and materials so specialists can treat shoulder pathologies. However, specialists' preferences agree with the latest medical literature. Level of evidence V, Expert opinion.
期刊介绍：
A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.
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